Support Us > Registration for Disabled

Note: The field marked with * are mandatory.


Date Of Birth :
Gender*  
   

Type of houses Kutcha/Pucca/ hutment/houseless
           
Occupation of the Pwd -Govt/Semi Govt/Private/Others(semi skilled/ unskilled labourer)
       
   
Whether willing to be considered under self employment scheme
   
Whether your work place is barrier free/disabled friendly
   

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